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News, opinions and meeting coverage in psychiatry.

Speech Changes May Signal Cognitive Impairment

Prospective study suggests 'connected speech' assessment could be screening tool

Lifetime Stress May Boost Dementia Risk for Blacks

African Americans seem to experience cognitive issues earlier

Daytime Sleepiness, Brain Pathology: A 2-Way Street?

Amyloid buildup may be both effect and cause of sleep-wake abnormalities in elderly

ACC: FOURIER Substudy May Help Refute 'Dr. Google'

No neurocognitive adverse effects linked to very low LDL levels

FDA Clears App to Screen for Cognitive Impairment

CANTAB Mobile app uses tests developed more than 30 years ago

AHA: No Cognitive Benefit from Heart Drugs in HOPE-3

Substudy finds mental function unimproved by BP, cholesterol treatments

Watch Out for Brain Game Claims

Study wasn't powered to detect dementia outcomes

ADHD Drug Fails to Boost Cognition in Parkinson's

But patients reported improvements in impulsivity, inattention

Risky Behaviors Common in Seniors With Probable Dementia

30% use cooking equipment, manage their own money

'Bag of Pills': Is It Necessary?

Fewer medications is an achievable goal

Nearly Half of Former NFL Players Show Signs of Brain Injury

MRI scans detect TBI markers in more than 40%

Is SAMHSA to Blame for a Broken Mental Health System?

Two members of Congress differ on how to fix a failing system

Copyright Issues Hinder MMSE Use

Neurologists forced to look for alternate cognitive screening tests

Experts Gain Ground in CTE Diagnosis

NIH working group says perivascular tau deposition is hallmark feature of chronic traumatic encephalopathy.

Excerpt From 'The Secret Language of Doctors'

ED doc Brian Goldman investigates slang to "crack code of hospital culture."

Mild Stenosis Linked to Death in Diabetes

Long-term registry shows impact similar to single-vessel obstruction.

Atherosclerosis a Signal for Brain Drain?

Plaque burden was linked to cognitive impairment in a population-based study.

Excerpt From 'Being Mortal ... '

Ivan Ilyich isn't as foreign to today's medicine as we imagine.

Skull Size Tied to Disability Risk in MS

BOSTON -- Multiple sclerosis patients with larger intracranial volumes -- a measure of their lifetime maximal brain size -- scored better on cognition and physical function tests than those with smaller skull sizes.

Dementia Tied to More ICD Placements

Dementia patients get more implantable cardioverter-defibrillators than expected, and even cognitively normal individuals may not understand their options about cardiac device replacement.

HIV Drug Cleared of Cognition Hit

MELBOURNE, Australia -- Although it has well-known psychiatric side effects, the HIV drug efavirenz (Sustiva) does not affect cognition, a researcher said here.

HTN May Halt Dementia in Very Elderly

COPENHAGEN -- Among individuals who developed hypertension at age 90 or later, their risk of also developing dementia was dramatically lower than other very elderly people whose blood pressure remained normal.

APA Meeting Highlights Mental Health Biology

NEW YORK CITY -- The biological basis for normal and abnormal mental function is emerging as a dominant theme in psychiatry research, and the American Psychiatric Association annual meeting that starts here Saturday won't be an exception.

MoCA Beats MMSE to Assess Dementia

NEW ORLEANS -- The Montreal Cognitive Assessment (MoCA) was better than the Mini-Mental State Examination (MMSE) at teasing out subtle differences in cognitive performance among mildly impaired individuals, researchers reported here.

Aricept Helps Cognition in Parkinson's

SYDNEY -- Parkinson's disease patients who have impaired cognition appeared to benefit from the Alzheimer's disease medicine donepezil (Aricept) with no detriment to their motor skills, researchers reported here.

APA Leaders Defend New Diagnostic Guide

SAN FRANCISCO -- The fifth edition of the "psychiatrist's bible" was officially released here in all its 947-page glory, with its developers offering a spirited rebuttal to their critics.

ACE Inhibitors Linked to Hallucinations in Elderly

Elderly patients with memory problems who suddenly have visual hallucinations may need to stop taking ACE inhibitors, researchers suggested.

DSM-5: What's In, What's Out

PHILADELPHIA -- Reports here provided what may be the last public update on DSM-5, the next edition of American psychiatry's diagnostic guide, before it is formally released in May 2013.

Most DSM-5 Revisions Pass Field Trials

PHILADELPHIA -- Field trials of proposed new diagnostic criteria for many mental disorders showed that, for the most part, they were at least adequately reliable.

FDA Adds Diabetes Warning to Statin Label

WASHINGTON -- The FDA is changing the labeling on statins to include a warning about increased risks of hyperglycemia and transient memory problems, but the agency is no longer recommending routine liver function testing.